Chest Trauma: Current Recommendations for Rib Fractures, Pneumothorax, and Other Injuries

Current Anesthesiology Reports - Tập 10 - Trang 61-68 - 2020
Michelle Kim1, James E. Moore2
1University of Maryland School of Medicine, R. Adams Cowley Shock Trauma Center, Baltimore, USA
2Consultant Anaesthetist, Intensive Care Physician & Director of Trauma Services, Wellington Hospital, Wellington, New Zealand

Tóm tắt

This article provides an overview of the common and important chest injuries that the anesthesiologist may encounter in patients following trauma including blunt injury, pneumothorax, hemothorax, blunt aortic injury, and blunt cardiac injury. Rib fractures are frequently associated with chest injury and are associated with significant pain and other complications. Regional anesthesia techniques combined with a multimodal analgesic strategy can improve patient outcomes and reduce complications. There is increasing evidence for paravertebral blocks for this indication, and the myofascial plane blocks are a popular emerging technique. Recent changes to recommended management of tension pneumothorax are also described. Chest trauma is commonly encountered, and anesthesiologists have the potential to significantly improve morbidity and mortality in this group of patients.

Tài liệu tham khảo

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